A performance-based management system to reduce prematurity and low birth weight.

A performance system is a management tool for ensuring that programs accomplish their objectives. Using Delphi and nominal group process techniques, the authors established objectives for a system to reduce prematurity and low birth weight. A task force consisting of state, regional, and local public health personnel, consultants from the Centers for Disease Control, and faculty from the School of Public Health then developed the activities, standards, and guidelines of the performance system. Finally, an assessment tool for evaluation of the system was designed. The system, which is intended to complement initiatives to improve the medical care of maternity patients, should be useful to maternity clinic managers and supervisors who wish to develop performance standards specifically targeted to the achievement of objectives for reducing prematurity and low birth weight.